01
Denial intake & triage.
Every ERA/EOB denial captured. Triaged by reason code, payer, dollar amount. Prioritized for appeal or write-off per your rules.
Denial management & appeals
Denial management with an 87% first-appeal success rate.
Dedicated denial management team to run a root cause analysis on every denial. File payer specific appeals and chase missing clinical documentation. Our team reports patterns back to your ops team so repeat offenders surface.
Recognized by Clutch
Top 2026 Awards for Virtual Assistants, Medical Billing, and US BPO
Verified client reviews
What clients say on Clutch.
Unfiltered, third-party-verified reviews pulled live from our Clutch profile.
Why HelpSquad for denial management
Denials are not random. They have patterns.
Four reasons practices move denial management to a dedicated team.
01
87% first-appeal success.
Payer-specific appeal templates, thorough documentation, and appeals filed within deadlines. 87% of our healthcare denials overturn on the first appeal.
02
Root cause, not just resubmit.
We find out why the claim denied and fix it upstream. Coding issues get fixed in coding. Eligibility issues get caught in verification. The same denial rarely repeats.
03
Payer-pattern reporting.
Which payer denies what, how often, why. Monthly reports so your ops team can push back at contract level or adjust internal workflow.
04
Deadlines, respected.
Every payer has appeal deadlines (usually 90-180 days). Our queue ensures nothing ages out of appealability, a mistake that costs practices thousands.
How we show up
Six lanes of denial management.
Start with one area of support and add more as you see the results.
02
Root-cause analysis.
Coding, eligibility, prior-auth, medical-necessity, filing-deadline - identified per denial. Categorized for upstream fix.
03
Payer-specific appeals.
First-level appeals filed with payer-preferred format (portal, fax, mail), supporting documentation, and appeal letter. 87% first-pass success rate.
04
Clinical documentation chasing.
Missing chart notes, imaging, lab results, or peer letters - chased from clinicians or outside records before appeal submission.
05
Aged-AR work.
Denials sitting in A/R get worked by payor and aging bucket. Sustained cadence prevents the quarterly scramble.
06
Reporting & pattern surfacing.
Monthly reports: denial rate by payer, reason code, dollar value. Patterns flagged so contracting / ops teams can push back.
Healthcare
Hi Ena, I just wanted to take a second to highlight that you have been doing a fantastic job with the handling of patient billing calls! I've noticed a stark improvement in our collection efforts and the feedback from patients has been positive overall. Keep up the great work!
Billing Manager
Multi-location practice
Tools we work with
Trained on your billing stack.
We meet you in the tools you already use. Training built into onboarding.
WaystarChange HealthcareAvailityOffice AllyTrizettoEpicCernerAthenaeClinicalWorksNextGenTebraAdvancedMDSimplePracticeDentrix+ custom toolsWaystarChange HealthcareAvailityOffice AllyTrizettoEpicCernerAthenaeClinicalWorksNextGenTebraAdvancedMDSimplePracticeDentrix+ custom tools
Healthcare operations in production
A six-figure A/R recovery in 60 days.
A New Jersey dental practice running three dedicated VAs across appointment calls, billing follow-up, and EHR data entry - aged A/R cleared in 60 days, around-the-clock patient coverage without adding in-house staff.
Transparent pricing
Simple rates. Nothing to hide.
We publish our rates because we're proud of them. No hidden fees, no bait-and-switch. Engagements typically start at 20 hours per week, and every rate includes our HIPAA-compliant technology and the backing of a US-based company.
$8-$13/hour for staffing.
Managed teams custom-priced.
Managed teams custom-priced.
$0
Upfront cost
$0
Implementation fees
$0
Replacement costs
Back Office (Digital)
$ 8-10
per hour | digital-only · email + chat
- Billing, claims, AR, data entry
- Admin, research, scribe
- Experienced on your EHR
- HIPAA BAA + virtual desktop
- Dedicated account manager
Most popular
Patient-Facing (Voice)
$ 10-13
per hour · phone + video
- Front desk, scheduling, intake
- Experienced on your EHR
- Screened for clear US-patient communication
- HIPAA BAA + virtual desktop
- Dedicated account manager
Managed Team
Custom
3+ VAs · team lead + QA + trainer
- Fully managed (3+ VAs)
- Specialty: clinical or RN-equivalent
- Workforce management, QA, training & coaching
- Monthly analytics reporting
- Dedicated account manager
Ready to get started?
Denials have patterns. We find them and fix them.
Denial management is where practices leak the most money silently. Talk with us and we'll scope a denial team for your specialty and payer mix.
Frequently asked
Answers before you ask.
How do you hit 87% first-appeal success?
Payer-specific appeal templates built over years of engagements, thorough documentation from clinicians, appeals filed within deadlines, and escalation paths for habitual denial patterns.
Do you find root causes?
Yes. Every denial gets a reason code. We categorize (coding, eligibility, prior auth, etc.) and feed patterns back upstream. The same denial should not repeat.
Which clearinghouses and billing systems?
Waystar, Change Healthcare, Availity, Office Ally, Trizetto - plus native EHR billing in Epic, Athena, eClinicalWorks, NextGen, Tebra, AdvancedMD, SimplePractice, Dentrix, and others.
Can you work aged-AR too?
Yes. Aged A/R backlogs get worked by payor and aging bucket with sustained cadence. Most practices see material A/R aging improvement within a quarter.
How much does denial management cost?
$8-10/hour for back-office denial and appeals work. See full pricing →
How quickly will we see results?
Within 60-90 days: higher first-appeal overturn rate, lower A/R aging, clearer denial-pattern visibility. Six-figure recoveries in 60 days are common on practices with aged-AR backlogs.
Where does this fit with medical billing?
Denial management is a lane within our full medical billing service. See our full billing service →
Healthcare
Claims Denial Management in 2025: Best Practices, Tools, and Trends
Hospitals spent nearly $20 billion fighting denied claims in 2022. This guide covers prevention-first claims processing, predictive analytics, and 2025 trends.
Financial Service
Effective Denial Management Strategies in Revenue Cycle Management
Claim denials run 5-10% on average and can hit 15%, draining cash flow. This guide covers denial management tactics that protect healthcare financial services.
Healthcare
Top Healthcare Revenue Cycle Challenges and How to Overcome Them
Healthcare revenue cycle breaks down at billing, coding, claims, or collections. See why denials hit 20%, what causes rework, and fixes that actually stick.
Ready to scale denial management?
Let's build the squad your practice needs.
A 30-minute call. We'll scope the work, pre-qualify candidates, and give you a realistic go-live timeline.
877-775-3667 · info@helpsquad.com · Doylestown, PA